Jill Van Otterloo, PA is a medicare enrolled "Physician Assistant" in Forest City, Iowa. Her current practice location is
635 E Us Highway 9, Forest City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 585-2904.
Jill Van Otterloo is licensed to practice in Iowa (license number 074615) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679980783.
Provider's Profile
Full Name | Jill Van Otterloo |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 635 E Us Highway 9, Forest City, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679980783
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 07/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 5597983395
- Enrollment ID: I20140819002789
Medical Identifiers
Medical identifiers for Jill Van Otterloo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679980783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 074615 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Van Otterloo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jill Van Otterloo, PA 621 S Illinois Ave, Suite 103, Mason City, IA 50401-5489 Ph: (641) 428-3041 | Jill Van Otterloo, PA 635 E Us Highway 9, Forest City, IA 50436-1028 Ph: (641) 585-2904 |
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